chapter 28
A nurse is caring for a hospitalized 10-year-old child. What would be an appropriate activity for this child to meet the developmental tasks of this age group?
Participating in a craft project
What resource should school-aged children be taught to use whenever they have questions about sex education, if their parents will not discuss the subject?
School nurse
The school nurse is performing a vision screening for a 7-year-old child. Which finding should trigger a referral?
Slight misalignment of the eyes
An 11-year-old child is preparing to see the dentist to have his teeth cleaned. Which finding would considered most appropriate for this age?
The child has 28 permanent teeth.
The school nurse is teaching a class on sports injuries. What information is most important for the nurse to teach?
Vary the sports to prevent use injuries.
The nurse is educating the parents of a 10-year-old girl in ways to help their child avoid tobacco. Which suggestion should be part of the nurse's advice?
"As parents, you need to be good role models."
The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important?
"Be sure to get the proper size bike."
The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?
"I always cook foods that are low in fat."
The school nurse is speaking with a child who is a latch-key kid. Which statement by the child would need further investigation?
"I answered the door yesterday and the salesman wanted to come in even though my mom wasn't home."
The nurse is discussing home safety with the parents of a 10-year-old client. Which statement by the client's parents most concerns the nurse?
"Our child swims alone before we get home from work."
During a health history assessment, the mother of a 10-year-old girl tells you that her daughter does not have time to "play" because she is busy going to gymnastics, cheerleading, art class, flute lessons, reading club, and soccer. What should the nurse's response be?
"Play helps children to develop cognitively, socially, physically, and emotionally."
The parents of an 8-year-old girl with a slow-to-warm temperament are concerned about their daughter's reaction when she visits the dentist for the first time after having a cavity filled at the last visit. How should the nurse respond?
"Remind her in simple terms what will happen in the dentist's office."
The parents of a 9-year-old child voice concern that the child seems to be gaining weight rapidly. The nurse reviews the medical record and notes the child has increased weight by 6 or 7 lb (2.7 to 3.2 kg) per year for the past 2 years. What response by the nurse is indicated?
"Weight gains of about 7 lb (3.2 kg) per year are normal for children in this age range."
A 7-year-old child has taken money from a sibling's dresser on two occasions. When counseling the parent about this behavior, what would the nurse advise?
"You may need to remind your child about property rights."
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory?
A sense of competence, mastery, and worth
The nurse is caring for a hospitalized 10-year-old client. Which nursing action is most appropriate?
Consistently reinforce the child's self-worth.
The parents of an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood. Which response by the nurse is best?
"Bullying can have lifelong effects on the self-esteem of a child."
During a well-child visit, an 11-year-old girl states to the nurse that she looks different from her friends who are wearing bras. What is an appropriate response?
"It is normal for there to be differences in the time and rate girls your age develop."
What foods could a parent provide that would be the most beneficial to support healthy dentition for a school-aged child?
Fish, spinach salad and a glass of milk
A 9-year-old boy has arrived for a health maintenance visit. Which milestone of physical growth should the nurse expect to observe?
Lymphatic tissue growth is complete, providing greater resistance to infections.
The school nurse is reviewing the chart of a 12-year-old student who has had excessive absences due respiratory infections. What is the best action by the nurse?
Speak with the parents about the unusual increased number of respiratory infections.
The developmental task of the school-aged period, according to Erikson, is gaining a sense of:
industry versus inferiority.
A school-aged child develops school phobia. When counseling her mother, the nurse would advise her that the accepted action is to:
make her child attend school every day
The mother of two children ages 6 and 12 reports that her 6-year-old child seems to have "cold after cold" while her older child never seems to be ill. She questions if there is something wrong with her younger child. What is the best response by the nurse?
"The immune system of your younger child is less mature and may result in having more infections."
The nurse has just completed an assessment on a child who voices an interest in how things are made and who needs support when they are not successful. The child further reports he is involved in clubs and sports outside the home. The nurse is aware that this child is in which of Erikson's states of development?
Industry versus inferiority
